Individual provider · Type 1 NPI
Diesawit T. Hansom, FNP
Family Nurse Practitioner · Libertyville, IL
NPI number
1689391633
Active
Practice location
1366 S Milwaukee Ave
Libertyville, IL 60048-3795
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | 277.004265 (IL) |
Family Nurse Practitioner: Definition to come...
2 other providers at this address
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About NPI 1689391633
Diesawit T. Hansom, FNP's National Provider Identifier is 1689391633, issued on Oct 20, 2022. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Libertyville, IL. The record was last updated on Jun 12, 2025.